HomeMy WebLinkAboutCertified Mail - OT General - 3/21/1996T
First-Class Mail
UNITED STATES POSTAL SERVICE Postage&Fees Paid
USPS
E405 Permit No.G-10
• Pur name, address, and ZIP Code in this box • I
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o Mason County Dept, of Health Services
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tQ Offic@ Of Water Quality
410 N. 4th - P. 0. Box 1666
[1@ Shelton, WA 98584-5001
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�• SENDER:
v ■Complete items 1 and/or 2 for additional services. I also wish to receive the
N ■Complete items 3,4a,and 41b. following services(for an
N ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. d
■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
d permit.
Y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. El Restricted Delivery to
■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. a
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3.Article Addressed to: 4a. Icle Number m
556 437 qso °`
E 4b.Service Type
❑ Registered Certified °C
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(n ❑ Express Mail ❑ Insured E
❑ Return Receipt for Merchandise ❑ COD
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7. Date of Delivery �
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D 5. Received By: (Print Name) 8.Addressee's Address(Only if requesi'ed
w and fee is paid) t
6.Signatu e: (Ad essee or Age
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PS Form 3811, December 1994 1 Domestic Return Receipt